Anujuo Kenneth, Stronks Karien, Snijder Marieke B, Jean-Louis Girardin, Rutters Femke, van den Born Bert-Jan, Peters Ron J, Agyemang Charles
Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Sleep Med. 2015 Dec;16(12):1482-8. doi: 10.1016/j.sleep.2015.08.014. Epub 2015 Oct 24.
The aim of this study was to investigate the association between short sleep duration and cardiovascular disease (CVD) risk factors including hypertension, diabetes, obesity and lipid profile among various ethnic groups (South Asian Surinamese, African Surinamese, Ghanaians, Turks, Moroccans and the Dutch) living in the Netherlands. The contribution of social economic status (SES) and lifestyle factors were also examined to this association.
A total of 12,805 participants (aged 18-70 years) from the multi-ethnic Healthy Life in an Urban Setting (HELIUS) cohort. Short sleep duration was defined as <7 h/night. The association between short sleep and CVD risk factors, along with the contribution of SES and lifestyle factors, was assessed using prevalence ratios (PRs).
Short sleep was significantly associated with obesity in four out of six ethnic groups, with the socio-demographic-adjusted PR of 1.45 (95% CI, 1.07-1.95) in the Dutch, 1.21 (1.01-1.44) in South Asian Surinamese, 1.25 (1.09-1.43) in African Surinamese and 1.16 (1.04-1.29) in Turks. Short sleep was significantly associated with diabetes in African Surinamese (1.45, 1.14-1.84), Turks (1.59, 1.26-2.02) and Moroccans (1.29, 1.02-1.63). By contrast, the associations between other cardiovascular risk factors and short sleep were not significant in most ethnic groups, with the exception of the association with hypertension in the Dutch and Turks, and dyslipidaemia in South Asian Surinamese (reduced high-density lipoprotein cholesterol and triglyceride) and Moroccans (raised total cholesterol). SES and lifestyle factors contributed little to the observed associations.
The findings indicate that short sleep is associated with obesity and diabetes in most ethnic groups. The associations for other risk factors vary between ethnic groups. Further studies are warranted to establish the potential factors that might lead to the observed differences across populations.
本研究旨在调查荷兰不同种族群体（南亚苏里南人、非洲苏里南人、加纳人、土耳其人、摩洛哥人和荷兰人）中短睡眠时间与心血管疾病（CVD）危险因素（包括高血压、糖尿病、肥胖和血脂谱）之间的关联。还研究了社会经济地位（SES）和生活方式因素对这种关联的影响。
来自多民族城市健康生活（HELIUS）队列的12805名参与者（年龄在18 - 70岁之间）。短睡眠时间定义为每晚<7小时。使用患病率比（PRs）评估短睡眠与CVD危险因素之间的关联，以及SES和生活方式因素的影响。
在六个种族群体中的四个群体中，短睡眠与肥胖显著相关，荷兰人的社会人口统计学调整后的PR为1.45（95%CI，1.07 - 1.95），南亚苏里南人为1.21（1.01 - 1.44），非洲苏里南人为1.25（1.09 - 1.43），土耳其人为1.16（1.04 - 1.29）。非洲苏里南人（1.45，1.14 - 1.84）、土耳其人（1.59，1.26 - 2.02）和摩洛哥人（1.29，1.02 - 1.63）中，短睡眠与糖尿病显著相关。相比之下，除了荷兰人和土耳其人与高血压的关联，以及南亚苏里南人（高密度脂蛋白胆固醇降低和甘油三酯升高）和摩洛哥人（总胆固醇升高）与血脂异常的关联外，大多数种族群体中其他心血管危险因素与短睡眠之间的关联并不显著。SES和生活方式因素对观察到的关联影响不大。
研究结果表明，大多数种族群体中短睡眠与肥胖和糖尿病有关。其他危险因素的关联在不同种族群体中有所不同。有必要进一步研究确定可能导致人群间观察到的差异的潜在因素。
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